EFTA Document EFTA01356216

KYC Print Page 6 of 22 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details or all parties) Individual's Name: Harry Beller Date of Birth. Country of Residence USA Country of Ohzensh o LISA Address of primary residence' 12 Golar Drive Monsey NY 10952 United States Professor. Occupation Aomori:ant Tax D SS4 Current Empbyer: HBRK Associates. Inc Position/Title/Rank: Address of employer: Is the individual a Politically Exposed Person (PEP)flif Yes, describe) OYes w ..4 No To the best cif your knowledge, lathe individual related to an employee of the DB group?(if Family or Friendship, describe ) r.„,iFamily O Friendship 11 . 'fore To the best of your knowledge, is the individual party to a non-banking relationship with Deutsche Bank (e.g., external legal counsel. client referral source, supplier of goods or services)7(if Yes,describe ) K Yes RI No If applicable, indicate which bank officers have met the person: Indicate where and when the client meeting(s) took place: Bank Officer Name(s) Bank Office Client Private Domicile: Client Place of Business: Other Location (specify) Date. Paul Morris 0 O O 10/21/2013 I O O O O O O • Wealth Details for this Individual are not filled in, because they are the same as for the following person: 36. Wealth Details (Only for parties requiring source of wealth description as indicated in Section 2) Nature of the Individual's Business: Summarize Source of Wealth: O Busness Owner El Salary/Earnings I:Investment O Inhenlancei G Its 0 CI her Further Describe Source of Wealth (Detail the history of wealth for each of the sources (e.g. For trusts, how did settlor accumulate wealth? For inheritance. how did family accumulate wealth?For business owners. how long in business, how many employees. level o' profitability? Indicate type of business, countries of m jor activities. important business partners.) Estimated Annual Income ($): Estimated amour: of nves:aot assets(S) Estimated Net Worth(S). Amount of assets planned to invest with PWM(S) Other Known Financial Institutions: hups://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid IN30000000D9Di&e... I/1 1/2018 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0041954 CONFIDENTIAL SDNY_ GM_ 00188138 EFTA01356216